Provider Demographics
NPI:1841249844
Name:COMPREHENSIVE HOME CARE,INC
Entity type:Organization
Organization Name:COMPREHENSIVE HOME CARE,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:S
Authorized Official - Last Name:FREEDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-774-5944
Mailing Address - Street 1:6321 N AVONDALE AVE
Mailing Address - Street 2:SUITE # 106
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60631-1900
Mailing Address - Country:US
Mailing Address - Phone:773-774-5944
Mailing Address - Fax:773-774-5967
Practice Address - Street 1:6321 N AVONDALE AVE
Practice Address - Street 2:SUITE # 106
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60631-1900
Practice Address - Country:US
Practice Address - Phone:773-774-5944
Practice Address - Fax:773-774-5967
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-08
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1689212251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0903650001Medicare NSC
IL147589Medicare Oscar/Certification